Individual
MRS. DEBRA ANN MIRABELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
2620 CLARENCE AVE, BERWYN, IL 60402-2776
(708) 484-1096
Mailing address
2620 CLARENCE AVE, BERWYN, IL 60402-2776
(708) 484-1096
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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